National Provider Identifier

Timothy Jeremy Joshua Balkaran, MD

Timothy Jeremy Joshua Balkaran, MD is listed in the NPPES registry with a primary specialty of Psychiatry Physician in Buffalo, NY and a listed phone number of (716) 853-1335.

NPI 1205255676Buffalo, NYPsychiatry Physician

Profile Overview

NPI
1205255676
Provider Type
Individual
Primary Specialty
Psychiatry Physician
Enumeration Date
April 14, 2014
Last Updated
December 09, 2019

Practice Location

  • 430 Niagara St
  • Buffalo, NY 14201-1886

Phone: (716) 853-1335

Mailing Address

  • 255 Delaware Ave Fl 3
  • Buffalo, NY 14202-2016

Specialties

  • Psychiatry Physician (2084P0800X)
Full Record
NPI
1205255676
Entity Type
Individual
Last Name
Balkaran
First Name
Timothy
Middle Name
Jeremy Joshua
Name Prefix
Mr.
Credential
MD
Mailing Street Address
255 Delaware Ave Fl 3
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-2016
Mailing Country
US
Mailing Phone
(716) 842-0440
Practice Street Address
430 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201-1886
Practice Country
US
Practice Phone
(716) 853-1335
Enumeration Date
April 14, 2014
Last Updated
December 09, 2019
Deactivation Date
November 17, 2014
Reactivation Date
May 28, 2015
Sex
Male
Sole Proprietor
No
Certification Date
December 09, 2019
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Psychiatry Physician (2084P0800X)